Organization
HABERSHAM INTERNAL MEDICINE
Active
Other names
HABERSHAM INTERNAL MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ALLEN BRAY MD (DOCTOR)
(706) 754-8066
Entity
Organization
Contact information
Practice address
870 AUSTIN DRIVE, SUITE C, DEMOREST, GA 30535
(706) 754-8066
(706) 754-8086
Mailing address
PO BOX 699, DEMOREST, GA 30535
(706) 754-8066
(706) 754-8086
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
026464
GA
207R00000X
Internal Medicine Physician
Primary
026464
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000406062A
—
GA
01
—
GRP144
MEDICARE GROUP NUMBER
GA
Enumeration date
05/05/2008
Last updated
02/14/2013
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